Any change between now and your next results depends on when you think you caught HIV.<\/p>\n
If you were only recenly infected, then it is liekly that your viral load will continue to go down, and your CD4 count could go up again over time.<\/p>\n
If you are likely to have been HIV-positive for some years, then both the CD4 count and viral load would be seen as stable (ie no difference between the two results). Having a viral load over 100,000 copies.mL in chronic infection is a factor for starting treatment, even with a CD4 count that is higher than guidelines recommend.
\nBoth CD4 count and viral load results can fluctuate substantially from test to test. There are many reasons for that. Among the most important ones are: other underlying infection(s), stage of the infection, menstrual cycle in female patients and sometimes even lab mistakes. That is why it is important to follow the trend, rather than the one-off results.<\/p>\n
Generally speaking, it is expected as the infection progresses the VL to go slowly up (after the stage of the seroconversion, when it is very high) and the CD4 count to drop. In rare cases we are talking about discordant results when the CD4 count drops while the VL stays the same or even drops too, or vice versa.<\/p>\n